Incidence of early persistent pain after video-assisted thoracoscopic surgery: a single-centre prospective cohort study.

Background: Despite the benefits of video-assisted thoracoscopic surgery (VATS), postoperative acute pain and nerve injury are still present and contribute to early persistent and chronic pain. The purpose of this study is to describe the incidence of early persistent pain (EPP) after VATS, which remains unexplored, to enhance patient care and promote awareness among clinicians regarding this clinical condition.

Methods: A single-center prospective cohort study that included consecutive patients undergoing VATS between January 2021 and March 2023.

Upgrading of existing aerobic plants with the LUCAS anaerobic system based on full-scale experiences.

It has been demonstrated that the combination of anaerobic-aerobic treatment is the best technological and economical solution for the treatment of high loaded wastewater. Where in the past aerobic treatment systems were still very acceptable due to the very good treatment efficiency, simplicity and robustness of the technology, this has, in most cases, been changed due to very stringent sludge disposal legislation. The anaerobic pretreatment takes care of approximately 80-90% of the overall treatment efficiency at high loading rates and low sludge production and low energy costs.

Biotreatment of ammonia- and butanal-containing waste gases.

The biological removal of ammonia and butanal in contaminated air was investigated by using, respectively, a laboratory-scale filter and a scrubber-filter combination. It was shown that ammonia can be removed with an elimination efficiency of 83% at a volumetric load of 100 m3.m-2.